| NPI | 1184365181 |
|---|---|
| Other Name | BRUCE KIM YOUM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 063198) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1859857) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-10-06 |